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Building Permit #Exception - 115 CRICKET LANE 5/1/2018 (3)
�10RTF/ BUILDING PERMIT o`<AOR 7. 6 TOWN OF NORTH ANDOVER Or q, 4 t6 APPLICATION FOR PLAN EXAMINATION '" . Permit NO: Date Received �SSAC HUSS,�( Date Issued: IMPORTANT: Applicant must complete all items on this page 1.00ATIN PRPTYDWNEFt Y Print MAP NO �9, ;,.P,ttRCEL: ON1NG DISTRICT: stork©istria es ft - acl me Shop.VI11age e TYPE OF IMPROVEMENT PROPOSED USE Res' ential Non- Residential ❑ New Building One family �Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other g Septic T Vle11 7 Fldtidpla n 11 Wetlands ❑ V%( rsh d District C '1t fatt r/Sewer— DESCRIPTION OF WORK TO BE PREFORMED: /{yam f J� Mi�men Itse or Prin2early) OWNER: Name: F �m`� Phone: �7S �gb— g�O Address .COIFICTOR N/ e; �TV rtS..; Phone. ' t" 4 _Address: ,� � �' � 1r; Supervisor's Cotstrctior L�eenser` B� �_ at LH_ie Im rave nt�cehse .;m / 3 S Ex date P ARCHITECT/ENGINEER Phone: Address: ���/��/P 1 �� i�7,e ej s Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ F d ad FEE: $ Check No.: Receipt No.: NOTE: Persons contracts ith unregistered,contractors do not have acce4th!nara:ntyfiu d Signature oiWgent% }wrier � Signature of contract. Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales Food Packaging/Sales ❑ Private(septic tank,etc. Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM i DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS TE REJECTED DATE APPROVED CONSERVATI COMMENTS(LoI 5 MVI (M USI" NIACC - DATE REJECTED DAT OVED HEALTH ❑ COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/Signature& Date Driveway Permit Located at 384 Osgood Street FIRE OE ARTM W .ENTp'-Temp Dlarrapster on,site y nc , Locat0d gat .24 Maink`Stre t r ► ;_ .. 4 Fire, iepaftnn'en ,signature/date �. �- �. COMMENTS 4. }, T" -_ L Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine I NOTES and DATA— For department use ,C C� /,Vj J f Gr 1 tiY� i I i ❑ Notified for pickup - Date ..................... . . Doc.Building Permit Revised 2007 �j r Building Department L The following is a list of the required forms to be filled out for the appropriate permit to be obtained Roofing, Siding, Interior Rehabilitation Permits o Building Permit Application o Workers Comp Affidavit o Photo Copy Of H.I.C. And/Or C.S.L. Licenses o Copy of Contract o Floor Plan Or Proposed Interior Work Li Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit.. Addition Or Decks ,.a—Building Permit Application Certified Surveyed Plot Plan ..@—Workers Comp Affidavit � iov t C ll.� ,`a— Photo Copy of H.I.C. And C.S.L. Licenses ,a Copy Of Contract o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) a Mass check Energy Compliance Report (If Applicable) o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) o Building Permit Application o Certified Proposed Plot Plan o Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract Li Mass check Energy Compliance Report o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit . In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 ROOME & GUARRACINO, LLC Consulting Structural Engineers 48 Grove Street Somerville, MA 02144 Tel: 617.628.1700 Fax: 617.628.1711 July 16, 2007 Town of North Andover Building Department. North Andover, MA Reference: Simon Residence, 115 Cricket Lane,N. Andover, MA Dear Sir; I have reviewed tte LVL header for the new opening into the existing garage and find that for a 14 foot span 3-1-1/4"x16" deep LVL's are required as a header. Three 2x12's are acceptable for the new garage door header. Should you have any questions or need any additional information, please do not hesitate to contact our office. Very truly yours, QF Roome & Guarracino, LLC ' REGINALDD f� jN RGOFM II STRUCTURAL ;f44 0 31949 Reginald Roome II P.E. Partner �S�ONAL Fifa Liberty Muttial Ge oug Li , PO Box 7202 10,m b—i'A Portsmouth,NH 03802-7202 _...____� --–_ Tclephone(800)653-7:193 Fax(603)431-5693 ? ti t: • N C 4" 4 ! l Insured: DAVID DONOVAN DBA JEDN1:REALTY 60 TINNEY RD WESTFORD.MA 01886 Y:ll__ ., .,IIl?v''t_'_. 1•V I_�-?5.:�-)i^ ?i_f1?si .��:/�;,;li'[;: i ll�-rIitC ' , Coverage afforded under Workers Cojupcusation Lawof the fo-Hotying statc(s): MA Bodily h2.itml By Accident: $ 100.000 Each Accident T>:r47 is h, 7,1;sc!,cn_ C: lllr'i ii(Ifi n:1:;.. :�:•�Q it4 . Bodily 111JUry by Disease: $ 500.000 Policy Limits , As of this date the above-referenced policyholder is insured by Liberte Mutual Fire Insurance Co under 111c policy listed above. The insurance of orded by the.listed plt'_lic--v l-:snhiect in lit tht ierms. exchisi ns ani? ::ondit1wns. land is no, altered by any requirement. term or condition of any or outer documents witli respect to which this ceriiilcate may be issued. T his c:.rtific:t-,Is issued as a-niaticr of-InrorI atihii unIN ill-id CGUierS i10 rigilt 11p011 WILL the CEfdFICale h0IdCI'. This certificate is not an insurance policy and does not amend, extend, or alter the coverage alforka'by the liaeuittiGiC. IC this policy is Qu2celled before the stated expiration date.liberty Mutual Will cndeayor to notifi-you of such Ci122ce11:111[721- AT_7I]^' 17TI-n I_Ii;l{R•rl'\I(i11;;11.I.1Jl K.1\C'Lt11ZOl.iP fids t-i•t?uictl.is r:<,ui d b.-i_1RLi R1-Y s\li:"r l Al:1\tiU1c;t.NC1:t ik%li:I`:c:rc;ixct:;nucit uisssrMc::Li is ai Iond"i i7_;ttY::c�Dnij:utii•s;. . cc: insured: Producer ul'Record: DAVID DONOVAN D13A JEDM REALTY PANITANO INSURANCE AGENCY INC 1111 TENNF'r.' tit} _itI f RO.AiIivA 5,UI T E 202 WESTFORD. 11/A 01886 L1'NNFIELD. MA 01940 �' The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 5� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information _ Please Print Legibly Name (Business/Organization/Individual): Ul�� /X�N yr i �j fit, Address: City/State/Zip: Fc)C_Z 44 C Phone Are y an employer? Check the appropriate box: Type of project(required): 1. 1 am a employer with V 4. ❑ I am a general contractor and 1 6. EV<ew construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its officers have exercised their 10.❑ Electrical repairs or additions required.] 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' 13.0 Other comp. insurance required.] Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: L/ e r- J/ Z_ Policy#or Self-ins. Lic. #: W C_ 3/` / 9 ?�_ �,7 l— �j Z� Expiration Date: //— Z— ZUU Job Site Address: - I� C r kCJVOLT (.C,n �-- City/State/Zip:�n c),j c_- X_ Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce ify under the p ' s and penalties of perjury that the information provided above is true and correct Si nature: Date: 49—D 2— Phone#: 9e 7,,P— ,2 6 L y2 S`t/ Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: NOV-26-2007 08 :09 PM LARRY OGDEN 978 352 2858 P. 01 I LAWRENCE H.OGDEN,PX 198 EAST MAIN STREET GEORGETOWN,MA 01833 978-352-8318 fax 978-352-2858 pager 978-502.5921 November 26,2007 Mr.David Donovan 60 Tenney Street Westford MA. 01866 RE: Simon Residence 115 Cricket Lane,North Andover,MA. 01845 Dear Mr. Donovan As you requested I visited the above site November 24,2007 to review the LVL beams installed in the construction of the above properly. These Beams were designed and shownn on drawings prepared by Architectural Services dated 6/1/07.The LVL beams consist of 3-1.75 " 14"LVLs at the opening between the two garages and 3— 1.75 11.875"LVLs used as a garage header.As we discussed at each end of the 12'-6" opening between the garages the post at each end should be increased to 4-2*6. I reviewed the installation of these beams used in the structure and can certify that with the above revision the beams are acceptable and meet the loading conditions required by the 6t'Edition of the Massachusetts State Building Code. Should you have any questions please do not hesitate to call. Yours truly, NP meq, ertrk ' 2wrence H. Ogden,P.E. Structural 27765 N2 2 i G 9 Date.......G//../,/.�....... � f NOFTq 1 "� TOWN OF NORTH ANDOVER 00 PERMIT FOR WIRING •D�•TID��"� CMUS L Gl L{/ � �[��...........��.��! ................ This certifies that .......................1....... .................. has permission to perform ....... ...... n�................................ wiring in the building of... ......L�.:.............. yat...f//. ........ ........",.,/................ ,Aorth Ando r„ iV s. Fee...',..` Lic. ................ 1,� t...... `.......�..... ELECTRICAL INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer J 0 u..eovy I __... peg.,lit Nc 0A l(/ VqftVMWg-4;6"_%6Wr# occupancy Fee Checked J30APD OF FRE PREVeMON REGULATIONS 327,CMR 12-,00 -APPUCi4TJON-FOR PIERM.3D PERFOM 'RiCALy1/O AIL wrxk9�be pefed amto-accordance with the _ iCade 527 C-MR 92:96 Mease Priat ininkorty-pe al]informaucm) mate _._.. _Tti0VlebtspecturVWIMs: r Town of North Andover The undersigned applies fa a pJermitZto perfartn the alearicaywarlc desCnbed below. Location(Street&Number W/ 3 �'V& y S C (�C �✓t�d- Owner or Tenant,_ (A- G>o Owners Address 3 �t�f r 3 t(C t S �J�/i� �, �,�jy✓�I Is this permt in conjunction with a building permit Yes - Naj ❑ (checkAppropriate ePx) z Purpose of Buniding__ � ti-�tx. ,k �����,�e Utilibf Authorization 06 No_ �J U Existing Service Amps Vaits Overhead ❑ Undgmd ❑ No.of Meters New Service Amps /L" 2vo Vats OveMead Q Undgmd- No.of Meters Number of Feeders and Ampaciry Location and Nature of Proposed Electrical Work No ofli Outlets Total No.-of Hot use No.of Transformers KVA No-of V94tict4F>ar+res swim"UngPool - ❑ gmd Q Generators KVA No.of Receptacles Outlets Cf Oit�kmers No.of Emergency Lgh" r , Wo.of Switch{)udets Ne-&t Gas Owners - F7fi£Atm tYo.+jf Lorre No.of Ra._ Total No.of Detection and Tenn--.._ -Heat _ z Na of Di- set No. Pumm- Tons KIN No.of Sourtdirtg Deviges- No-of ITS hem N6.1-0f Self Cohf neo -KW No.of DevicesKW a Municipal Q Other local Connection,. No.of ytyf__.__. No.of No.of Low'Voltage No.; Ti1ds Ma:Cf Motors- TOW- o. INSURANCE COVERAGE Pursuant•to.the t £ -YES-.NO = A U hn.a rhArlr nleeaa .. �rotm bks iN$lJ. C� -BONG.= OTHER = (i?► 1 � -by shecking a the Esumawa w Value of EtectocamorkS Rokrgh__w i tf G-c l( Signeld4aderthepena of FIS NAME, / '' _UC.NO. l! g 77� licensee_ ("I`�S ��.r rear•csL Signature C.NO. Address ��(� s � mus:Tel ido_ \t`g l Addy IR'S � �`~ Alt Tel.No. lam an ItaPOUC9Hon.watvesthisrequiremelrt_-Owngr -rJBQWR9d-lfy. SaChY9 S -Agent-(Piease Clastic one) N E CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number Date THIS CERTIFIES THAT n /� THE BUILDING LOCATED ON A'®�-� �l�� rl�ILK Z-� ZAP MAY BE OCCUPIED AS C5IA.0T fe- --7;zi 1 ly /II.L IN ACCORDANCE 3 i WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. N0117q ;� De CERTIFICATE ISSUED TO � ���Uf /fit 0/e/ e �` hf`� • ADDRESS 7—o, av saACMUSE` BuiOrrg Inspector L I NORTH '9 Town of f' 6 Andover 0 I W. No. D y~y X 0. �` dover, Mass., COCMICMEWICK V ADRATED P .(C S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System POP&A . a BUILDING INSPECTOR THIS CERTIFIES THAT 9�/ .•.•• Foundation ^^— has permission to erect...........i........................ buildings on .A.0 .,3..... S�s.. q� ......,.,.,.,..IOU Rough to be occU ie S Q P0.om ...3th, 84*4 A....� ���,, v �� � Chimney . . provided tha' tie person accepting this per�it shall in everyrespect conform to the terms of the application on file in Final ozgthis office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PL BING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. / / F' l�L' `c _ PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION T& SRh oug '' ..................................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPEC ori "_36-cp ICA Display in a Conspicuous Place on the Premises — Do Not Remove No Lathing or Dry Wall a To BeDone FIRE KEPARTMENT 3 Until Inspected and Approved by the Building Inspector. Burner - Street No. j SEE REVERSE SIDE Sm ". /+ �" �� 1 w • f ti i TOWN OF NORTH ANDOVER BOARD OF HEALTH CERTIFICATE OF COMPLIANCE i DATE OF COMPLIANCE: 7/24/00 This is to certify that the individual subsurface disposal system constructed (X) or repaired () 3 by Tom Sawyer at 115 (Lot 3)Cricket Lane has been installed in accordance with the provisions of Title V of the State Sanitary Code and with the North Andover Board of Health regulations. i The Issuance of this certificate shall not be construed as a guarantee that the system will ? function satisfactorily. 1 Board of Health Inspector Date. HpRTH TOWN OF NORTH ANDOVER pF «ao ,c,ti0 0 � `p PERMIT FOR GAS INSTALLATION SACHUSEt r This certifies that .._.. . . . . . . . . . .... . has permission for gas installation . . . r . . . . . . . . . . . . . . . in the buildings of /.•.*:! "<.' .. ... . .. a .. . . . .. .. . at . • • North Andover, Mass. Ire Fee. .7�. . . . Lic. No.. . . . . . . . . . . •GAS INS. P . . Edld. WHITE:Applicant CANARY: Building Dept. PINK:Treasurer I MASSACHUSETTS UNtTA)RM APPLICATON FOR PERMIT TO DO GAS FITTING ype or print) Date �7—//7/ 19 NOR-KH ANDOVER, MASSAC11 SETTS Building Locations lG/ ,t( d U t-� &`7"l/�3 Permit 4 Amount S Owner's Name GG tri 4 .9✓ 7 117— New'5_ Renovation ❑ Rzplacement ❑ Plans Submitted ❑ s Z vi w `n C m w_ c ZCn, L Z Z Z %t s1 Z SUB-BA SEM ENT – BASEM ENT ± I 1ST. FLOOR jt 2ND . FLOOR I 1 3RD. FLOOR t4T11 . FLOOR 5'r If FLO G R i 6TH . F L O O K ! I 7T 11 . FLOOR 3T Il FLOOR 1 (Print or type) PCheck one: Certificate Instailrm Company Name �S ✓/ G -e . ❑ Corp. Address L V1 �� W G 12_ Partner. I / ❑ Business Telephone C / ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter , S S (� ✓ C i, INSURANCE COVERAGE Check one: I gave a current liability Insurance policy or it'x lubstantial equivalent. Yes ❑ No❑ I you have checked ver,please indicate the"q coverage by checking the appropriate box. L.ability insurance policy Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver. I am aware that the licensee does not have the Insurance coverage required by Chapter 14=of the Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ I hereby certify that all of the details and intoRpgtion I have submitted(or entered) in above application are true and acrarate to the best of my knowledge and that all plumbing wgrk and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the'ylassachusetts State Gas Code and Chapter 143 of the General Laws. By: Signature of License 111 ber Or Gas Fitt . Title ❑ Plumber City/Town ❑ Gas Fitter ense Numner ❑ Master APPROVED(OFFICE USE ONLY) ❑ Joumeyman Date. ,,.5. N° 44. 11 HaRTM TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING ,SSAGMUS� This certifies that . . . . . . . . . . . . . . . . . . . . j' Chas permission to perform . . ._,�:Y:�-. 1. . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of ,. . . . . . . . . E l at . G.. __— . . . . . . ., North Andover, Mass. Fee?:f. . . . .Lic. No.:.-/.4- . . . . . . . . . . . . . PLUMBING INSPECTOR 4- ✓. v WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS Date Building Location �� �/2 Zm Name Permit# Amount Type of Occu anc New Renovation Replacement Plans ubmitted Yes No FIXTURES a Ln rn cc a; W Cn FaLn d St�BgVIC fiAg1VIIVT M HUR 2ND FLOM 3M FIDdt 4IH MaR 5M ROQt 6M FiOCR 7IH HDD 1 SIH FIM (Print or type) Check one: Certificate Installing Company Nam / L/- C / Corp. Address `! Partner. v ! � Business Telephone e-77— Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate a type of insurance coverage by checking the appropriate box: Liability insurance policy �- Other type of indemnity Bond ❑ 1 El Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does nothave any one of the above three insurance Signature Owner Agent I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed undLadmChapter it Issued fo this application will be in compliance with all pertinent provisions of the Massachusetts a lumbing odof the General Laws. By: Signature ofLfCensea rItUnDer Type of Plumbing License Title City/Town cense um er Master ❑ Journeyman APPROVED(OFFICE USE ONLY Location ^ o2 Z��.S �� C 11'e-1 L j�u� No. 6-601-- Date o� HGRTTOWN OF NORTH ANDOVER h R Certificate of Occupancy $ 5� C M E<� Building/Frame Permit Fee $ s� us Foundation Permit Fee $ / D O Other Permit Fee $ TOTAL $ �� r Check # Building Inspector PERMIT NO. .5�oO APPLICATION FOR PERMIT TO BUILD*******"NORTH ANDOVER, MA LOTNO. ,((� 2. RECORDOFONERSIIIP MAP\O_ DATE BOOK PAGE W 14 R �r)�I: SUB Dn°.LOT NO. �Q/R/Ll. � e. fe,/. L ,/ tton PURPOSE OF BUR DING �' IG /��Mr I\ �pJY)G rmuN�4�ON v�L � LOCAEINASIF C /C Ke w pi } / / NO.OF STORIES 2 SIZE D(9 d O\\1E O\\ ER'S ADDRESS f^ G N� •ASEAIE?YTORSLAB e e� ARCHITECT'S NAME OJT SI7�OF FLOOR TIMBERS 2 X / O 3 2 X /o BL ILDER'SNAME Il DISTANCE TO NEAREST BUILDING DIAfENSIONS OF SILLS Z DISTANCE FROM STREET DIMENSIONS OF POSTS z/ 0 'p/ DISTANCE FROM LOT LINES-SIDES REAR DIMENSIONS OF GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION ! THICKNESS IS BUILDING NEW SIZE OF FOOTING x Z 'F/ 1S BUILDING ADDITION N o MATERIAL OF CHIMNEY C/e&r'l.Q ivC e. IS BALDING ALTERATION r 0 IS BUILDING ON SOLID OR FILLED LAND S O` •� WILL BUILDING CONFORM TO RFOUIREMF.NTS OF CODE es IS BUILDING CONNECTED TO TOWN WATER 5 BOARD OF APPEALS ACTION, IF ANY Ala N G IS BUILDING CONNECTED TO TOWN SEWER a /� rISUILDING CONNECTED TO NATURAL GAS LINE IlNSTUCTIONS 3. pit Oil HITY INI'OICNIA"11ON LANDCOST �� � syd f� • d ES'I.BLDG.COST / / �O D PAGE 1 FILL.OUT SECTIONS 1-3 /'4 a 3 O +: EST.BLDG.COST PF.R SQ.FT. ��. OO pccWC y EST.BLDG.COST PER ROOM -3 7 ELECTRIC METERS ML QST BE ON OUTSIDE OF BUILDING / s SEPTIC PERMIT NO. ATTACIIED GARAGES SIUST CONFORM TO STATE FIRE REGULATIONS 4. APPROVED BY: c P1.V%S NIE+ST BF FILFt)AND APPRO\'ED BN'BL•ILDI.NG INSPECTOR BUILDING INSPECTOR DATE FILED i OWNERS TEL.# CONTR.TEL# S �� coxTR.LIc# S1(;NATLRE OF.OWNER OR AUTHORIZLD AGENT H.LC.r FEES / 6Dt -- PERMIT GRANTED � 19 �/ q Revised 5/5/99 JM PERMIT NO.�J� APPLICATION FOR PERMIT TO BUILD*******"NORTH ANDOVER, MA ECORD OF OlYNERSHIP AI AP NO. DATE BOOK PAGELOTNO. Aft 2. R 70NF -- SUB DIV.LOT NO. 20" fir G //V�� 7`/ �• �Gv LOCATION C �G Ke 'n/� PURPOSE OF BUILDING ��,; /c. ��,r,I /� �o m G J / / NO.OF STORIES Z SIZE 04 O\11ER'S NAMF rj[ G, Cs ON1ER'S ADDRESS �� N/1 ASE6IEA"f OR SLAB Lee e L • G ARCHITECT'S NAME OJT. SIZE OF FLOOR TIMBERS I 2 X /Z 2" � JC/d 3 2 X /0 BIILDER'SNAME � SPAN ,(, _S N DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET DIMENSIONSOF POSTS DISTANCE FROM LOT LINES-SIDES REAR DIMENSIONS OF GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING l� x - IS BUILI)ING ADDITION A10 MATERIAL OF CHIMNEYIS RI R,DING ALTERATION A10 IS BUILDING ON SOLID OR FILLED LAND f`•� WILL BUILDING CONFORM TO REQUIREAIF.NTS OF CODE eS IS BUILDING CONNECTED TO TOWN WATER 5 BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEVER � IS BIALDING CONNECTED TO NATURAL GAS LINE e INSTUC77ONS 3. P120PRI: k'Y IMI OltilATlON __-_ __ __ LAND COST _, I` - — - -- -- ---=- -_ EST.111,13G.COST --i_3 PAGE I FILL OUT SEC"F1ONS 1-3 EST.BLDG.COST PFR SQ. FT. EST.BLDG,COST PER ROOM 7 ELECTRIC NIFTERS MUST BE ON OUTSIDE OF BUILDING cSEPTIC PER NJIT NO. - 1 6 0 (681 ATT ICIIED GARAGES NI UST CONFORNI TO STATE FIRE REGULATIONS � � `D 4. APPROVED BY: LJL � PLANS NI UST BE FILED AND APPROVED BY BUILDING INSPECTOR BUILDING 1\SPECTOR DATEFB.ED OWNERSTEI-9 CONTR.TEL# �- I CONTR.LIC# SIGNATURE OFA\%\ER ORA17MORIZLD-AGENT /e6sD H.I.C.i1 FEE S • — PER tI1T(.RANTED q /o?'h 19 / — Revised 5/5/99 J1i FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *******""*****APPLICANT FILLS OUT THIS SECTION`************* * APPLICANT 1 r,/nuc/ 1f 1&Xqe Oev. PHONE97,?--9�7,P'uf9s7 LOCATION: Assessor's MapNumber PARCEL�� SUBDIVISION 1I/a.&.�w I ��C LOT (S) ? _ STREET C/2/c /<��/)_ . L a Nt�, ST. NUMBER_A5 *****************************************OFFICIAL USE ONLY*********************************** RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED r'7,I3�r95 Q /� DATE REJECTED COMMENTS I ovS`j Y ,re(/'�dA� TOWN PEANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED S IN OR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS -SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENTeZg!1141A_A_ RECEIVED BY BUILDING INSPECTOR DATE Revised 9\97 jm No 0736 Date . ............................ . . .. . .`� OF 40RTH - F� 9 TOWN OF NORTH ANDOVER RECEIPT � •�;;;off;,:�� ACHUS This certifies that.... .......!--L� has paid................t. 00..................................... ..........3... I io for ... ✓............ .........1!fr4.c......�......... l� Received b � ,. � �.L.�.,.,-i.;,............................... Department...................Fal.to.I;-,c....... ..................... WHITE: Applicant CANARY:Department PINK:Treasurer N2 922 _. ' :R `-APPLICATION-FOR`WATERkSERVICE CONNECTION- North Andover, Mass 19-Z-L Application,by the undersigned is hereby made to connect with Ne!town water main in l 3Ir4o D _subject to the rules and regulations of the Division of Public Works: ":7 -" The-premises are known as No. C_/ !�G�� l t'iyl G Street or subdivision lot no. ZIC Owner ___- Address Contractor., Address too! _ r_`i'J'f �. :�- �t l.. r: _ �•..- - - 6- - Applicant's Signature a - : PERMIT TO CONNECT WITH WATER MAIN > The Board of Public hereby grants permission to 6f V GJ,e7 �! Street _ to_make a-connection-with the water main at subject to the rules and regulations of the Division of Public Works. = Boa of Public Works By f Glir/L Inspected by Date- See back for rules and regulations TOWN OF NORTH ANDOVER, MASSACHUSETTS DIVISION OF PUBLIC WORKS 384 OSGOOD STREET, 01845 Telephone(508)685-0950 Fax(508).688-9573 pORTFy O� t e° '1 * - X � O 9SSACFHUSE{ DRIVEWAY PERMIT Date: ov 27,4 LOCATION: BUILDER: phone: OWNER: -phone: �� 7v zS7 The North Andover Superintendent of Highway Utilities&Operations MUST be notified of the grade and set-back from street established in any driveway entry onto any street or way maintained by the TOWN. Call the Highway Superintendent's Office, before finish grading and surfacing for approval of such entry. i FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS PERMIT. Remarks: Approval: Town of North Andover Planning Board his form represents the schedule for alicwing the foltowing lots to be Considered as eligible for building permits under the Town of North Andover Grcv4h Management by-law Section 8.7 of the Zoning by-law. Pursuant to 8.7 .5 this Development Schedule must be filed in the Registry of Deeds and be referenced on the deed of each of the lots below and be filed with the Planning Board prior to the issuance of any building permit or permit for construction. Name and Address of A licant for Lots: Name of Development: Marie Pitochelli I �lalnut (exiensica of Cricket lane). Map and Parcel of Original Lot: ( f Date of Aaalication for Los Division: I October 31. 1997 j Lots Covered by this Schedule; 1 1-10 Cricket Lane The Planning BcaM by their signature betcw, or a signature of a duly authorized representative, do hereby establish for the above named development the following Development Schedule for the purpose of Sectk=8.7 Of the GcOvAti=MmagI By-Law: Itle.appticant, their assignem successors and or subsequent property owners shall conform to the following schedule dial limits the eligibility of the following Tots for building permits. This form must be filed in the Registry of Ceeds by the property owner or represec=ve and be referenced on each deed fCr each of the fcilcwing Icts. Such deed reference fcr the deed of each let shall at a minimum reference the gook and parse in which this Development Schedule is filed and contain the language: "Thi3 tot is subject to a De'49lopdent Schadute pursuant to the Torero of Akrt(zAndover ZoairrgSy-Law all owners, reprasentatives, and future purchasers should avail ttremsehies of said restrir;tkn by rawewirq the approved Development Sctoedule as filed in BCok and Pace The fact that a;ot is ahlble for a budldmg perme is st ect to the/imita�cf the number of building s Per}reaf Aursuant to-seetkwir S.7.2.d or;t!?e Zoning By-Law.' The Planning Board hereby schedules the lot(s)-for the a ve development as shown cn the r 2--torched sr-hedute. Signature of?farn .ern � Or uthccizAd Representative Dat Signature of Pro uthcrtzed•Rtepresentative- Gate 8-7 Growth Management Bylaw — Walnut Ridge o-i 0 lots = 3 buirding permits per year • Y:.sr=July 1 to Ju1v 1 • p':mits am Q:ven out on auarterly basis i.e. % elig" q �io1e lot;would be available in July, OctoberJanuary , , andAprg the ye3r that the lots are created the total number of eligible Iots for that year may be se eduled in the month the decision appeal period expires Date Eligible Eligible permits Total permits .mer year eli,ible 10 .rely 1998 - _. I MAScheck COMPLIANCE REPORT I Massachusetts Energy Code Permit # 1 MAScheck Software Version 2.01 I I I I Checked by/Date I I CITY: North Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 5-14-1999 COMPLIANCE: PASSES Required UA = 665 Your Home - 622 Area or Cavity Cont. Glazing/Door Perimeter R-Valae R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 2232 30.0 0.0 79 WALLS: Wood Frame, 16" O.C. 2720 19.0 0.0 164 GLAZING: Windows or Doors 158 0.320 51 GLAZING: Windows or Doors 64 0.330 21 GLAZING: Windows or Doors 435 0.470 204 DOORS 21 0.320 7 FLOORS: Over Unconditioned Space 2040 19.0 0.0 97 HVAC EQUIPMENT: Furnace, 92.0 AFUE ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in Sections 780CMR 1310 and J4.4. Builder/Designer Date I MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 DATE: 5-14-1999 Bldg.1 Dept. 1 Use I I I CEILINGS: f ] 1. R-30 1 Comments/Location I I WALLS: [ ] 1 1. Wood Frame, 16" O.C., R-19 I Comments/Location I I WINDOWS AND GLASS DOORS: { I I 1. U-value: 0.32 For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No I Comments/Location j [ ] 1 2. U-value: 0.33 1 For windows without labeled U-values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ ] No I Comments/Location [ 1 1 3. U-value: 0.47 1 For windows without labeled U-values, describe features: I # Panes Frame Type Thermal Break? [ J Yes [ J No I Comments/Location 1 I DOORS: [ ] 1 1. U-value: 0.32 I Comments/Location I y I FLOORS: [ l 1 1. Over Unconditioned Space, R-19 I Comments Location I I HVAC EQUIPMENT: [ ] 1 1. Furnace, 92.0 AFUE or higher I Make and Model Number I I AIR LEAKAGE: [ 1 I Joints, penetrations, and all other such openings in the building I envelope that are sources of air leakage must be sealed. When I installed in the building envelope, recessed lighting fixtures I shall meet one of the following requirements: I 1. Type IC rated, manufactured with no penetrations between the f inside of the recessed fixture and ceiling cavity and sealed or I gasketed to prevent air leakage into the unconditioned space. 1 2. Type IC rated, in accordance with Standard ASTM E 283, with no I more than 2.0 cfm (0.944 L/s) air movement from the the I conditioned space to the ceiling cavity. The lighting fixture I shall have been tested at 75 PA or 1.57 lbs/ft2 pressure I difference and shall be labeled. I I VAPOR RETARDER: [ 1 I Required or, the warm-in-winter side of all non-vented framed I ceilings, walls, and floors. I I MATERIALS IDENTIFICATION: ( J I Materials and equipment must be identified so that compliance can I be determined. Manufacturer manuals for all installed heating I and cooling equipment and service water heating equipment must be I provided. Insulation R-values, glazing U-values, and heating I equipment efficiency must be clearly marked on the building plans I or specifications. I I DUCT INSULATION: ( ] I Ducts shall be insulated per Table J4.4.7.1. i 1 DUCT CONSTRUCTION: [ 1 All accessible joints, seams, and connections of supply and return I ductwork located outside conditioned space, including stud bays or I joist cavities/spaces used to transport air, shall be sealed I using mastic and fibrous backing tape installed according to the I manufacturer's installation instructions. Mesh tape may be I omitted where gaps are less than 1/8 inch. Duct tape is not permitted. The HVAC system must provide a means for balancing I air and water systems. i I TEMPERATURE CONTROLS: [ ] I Thermostats are required for each separate HVAC system. A manual I or automatic means to partially restrict or shut off the heating I and/or cooling input to each zone or floor shall be provided. I I HVAC EQUIPMENT SIZING: [ ] i Rated output capacity of the heating/cooling system is I not greater than 125% of the design load as specified " I in Sections 780CMR 1310 and J4.4. I [ J I SWIMMING POOLS: I All heated swimming pools must have an on/off heater switch and { require a cover unless over 20% of the heating energy is from I non-depletable sources. Pool pumps require a time clock. I ( 1 I HVAC PIPING INSULATION: I HVAC piping conveying fluids above 120 F or chilies fluids I below 55 F must be insulated to the following levels (in.) : I PIPs. SIZES (in.) I HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" 1 Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 I Low temperature 120-200 0.5 1.0 1.0 1.5 I Steam condensate any 1.0 1.0 1.5 2.0 1 COOLING SYSTEMS: I Chilled water or 40-55 0.5 0.5 0.75 1.0 refrigerant below 40 1.0 1.0 1.5 1.5 I [ j I CIRCULATING HOT WATER SYSTEMS: I Insii.lat.o circulating hot water pipes to the following levels (in.) : I I PIPE SIZES (in.) I NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS I HEATED WATER TEMP (F) : RUNOUTS 0-1" I 0-1.25" 1.5-2.0" 2.0+" 170-180 0.5 1 1.0 1.5 2.0 1 140-160 0.5 1 0.5 1.0 1.5 I 1.00-130 0.5 1 0.5 0.5 1.0 I ----NOTES TO FIELD (Building Department Use Only)------------------------- I I i ' ✓die Porurwnuea o�✓�«aaaclzuaet i I BOARD OF-BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR I Number: CS: 061599 Birthdate:,.05/07/1943 Expires:05/07/2001 Tr.no: 9627 J .sthtted,To: 00 RONALD L PIT OCCHELLI 20 RIDGEWOOD DR 1 ATKINSON, NH 03811 i Administrator - FROM : FM NO. : 9704702690 Dec.. 03 919 11:40 P4 Phorstx(732y be�.t X00 FsX;(',ITJ Od;d�Qf30 wit M at M WOA1t11;AS'COMPRNSATION AND EMM DYERS`11 HII,2TY INSURANCE FMWV ftp.L OU MtX?it.NBib!v SCHS;�L�LE PO MPY NOA WC5.09US33 1=6r4d:T0M LAJDONI t ftON PITOCCHMU DBA wALMT suDaB Ia YELo T>Lc- Fm tOl Y1M To iaasa 00 MA40 739 Tuw=STMT,SUM 164 WOR17 1 AY4DOVER„bAA of Us Premium&"Is Rata per Code Total 18*rmwd $400 of bttroatW wasmawleft No. Annual Ramunwoon Ranrunaragon Annwal Pnrnlurrr CgMMYW 3443 WAVY 33.6i so I& Mf WA0d1I.L3cTOtl9lM=8jQv= 874,' 7 ANY so NMM MAWVALPUMIUM PT.MUTOINALUXI7s►MMuM MWJM Gip no �. 9300 3343 zv[+L ttiT�YA7m P"amm s roe Wr OF DIDt?iYtU LACCEe sAX85MM DiT �.DWOy� Ss00 TOIAL>Nl!(W►!ar lYMIU11 COr! f tr1 uK �W1'Rteaot~ m00 FRM : FAX NO. : 9704702690 Dcc. 03 1999 11:47RM P1 13_.%I L4 iJ'j 'd��'-b.' -'ol-2'd _iJICR.1VCii _IVtiUR:,l n., . rif+L t Ex IN V iRi„t' OE COMPANY COMMERCIAL LIABILITY DECLARATIONS ltut►eWalofNumber NEW PoilcySutmber 3CD19LO it>t I. 'Armed Iosarod tmd Moift Addrvns: WALNUT RIDGE DVvn0PU1VT L.L.C. 733 TURNPUQ ST. NO,ANDOVM MASS 01845 Item z. Pcixsy Prniod FROM: 41$!99 TO:415M Term, ONE YEAR 12-0b A.M.SUmdae'd Time at the adArm of the N smed ia"red ar a V06 errre& item 3. RrUwtive Date: Iewt 4, Susineaa Dumtiptiow DWELLING}AND REAL ESTATE DEVELOPMENT item 6. Xn retrad fm the paymtsrt of the wtnium.and subiwt tv ail rho terms of th6 p6lt.y,we agroa Witt you to pravidc the losvrurce to otrted in this polis}'. This policy eo"SM of tb$fallowing coverage pans foe v oh a protium Is Indirmtcd. Whasa w prc-mvm i6 shown,than is no aovrrage. Mi Mmium WAY be M to A at, Covvagc PoW I Forua No,And Pditinn Doo Prmtiunt ComatwWrl llrsiaral Liability Covesaae Poet 011-146:;l 5700.1?0 tYoPdsslornd Liabt'lity Coverage Part . MWtMUM AND DERIWI' Au&Period AmTW unlasa otherwise etMod:_,.�— TUTALW 57DQ.U9 lien i. Farms and muWuoments appbeable to Ail Col atage Farre'See Ewmamew it I__ _-- Agan Nam and AMMS M,15 %Ice lxAM F&*ities,160 CieWAft SLTM,New Kw-lbatd,NY 13413 A.get:t Number, 142170 Cauotardpod IJIslop By�/ — DATE 7i a%LL N'TAT c THM COMM�'..k AL UABILITY DECLARATIONS AND MM SUI)P'LnGVTAL DECZ AI AMNS,TOGMER Wrriq TME.COMMON POLICY C034DMOWS,COMMA FORAl(B)AWD BN- ORSEMEMM COMPLETE ME ABOVE NUMSERED pM'jC`f W 6 f�r(N93) a>w»xa+�car of u�u.�c+nNOR FRCtl : FAX N0. 9704762690 Do--c. 03 1999 11:47AM P3 • 12IN'.: "!i+'a9 1H:3r yI'6-597-319 Tf`t7�1�"i ?hl�Uklltd�.k +•���:� N� WORXX0 COWENSATION AND IEMpLfJYERS LIABQ.ITY INSLRANCE(POLICY INFORMATION PAGE Cm+.4ifl ' ] ""N 'c 140. 090) V1'CS-043'9!5.32 I. INSLMD: TOM LAUDOM A RON rITUcC'HELLI DAA RRntwal of volley tvo. WALNUT RWM DEVE OPMSNT LLC NEW 1 The IofteNN161%&ddrnm 733 TURNT3M STREET,SUITS 158 7ludwidual ©Patemtstrip NORTH A]SMVER,MA 01845 �,]Colyoratuaor � Link=LIABILrry Colo. j Derr worWaces nvt shovm above lnsumd'i 1.I7.N061 Applicable) Se!We 0 00 03 F.E.JN.it043462483 Rit&0)#-- - z. POLICY PIMOD: The policy poled Is from 19,125J10"to 10YM1000 12:01 A M.Scardard Tian, pt the Insumd's rmmknij address_-_ 3. COYFJIAGE: A. Wc*m Ceewatim[tardn=e:Bart One of the,pChey trpplics to the Workom Compeesation L aw of the stems trrp based wre: Meanaehssetta S. Empluy"Liability bastum Putt Two of the policy applies to warp ib each stare I?Fred in item 3.A.The Itrruts o?our Eabr'Iity=der Part Two are: Bodity j1w'Y by AeaideW 3100,000 9aob uoeidetst Bogy 1pury by DitWsa s5w"000 policy lim mt Bo61y buryby Dimm 5100.000 meh employee, C. Other States Insurenrx Part Thies of the policy applies to the atatas.if any,listed here, D�Tlas policy ihcltu 6 th"e as4orsements and schedules:$0W6=207E,WC; 00"A,WOM"! WCOOW 1ti:WCz o301'WC!"0302 ,�,,1 ,w1�0a7aYF,wt�0Ua01.wGaooeot,wrests r 4. PRE KTUM. 'Etre premir>as1 foe:hia policy will be determined by oar m"usls mf Rules,Cleseifiaseiana.Raters asd Rating Plass.All InPeatpstioa requimd below is su ' to mifiraticm and cha.am by audio. Code Pro rjwn Bagis Bata Pur Estimated Armusi 1 No. Ttrtal 1196=ec Si00 o£ Premium Annual Reanunatatinn t Re,-Iwnetaelon E Sae WC go 0 01 i If WimAd below,Wet'm atl uaetaem of pmr.um um for Increased limits part Two,.If applicable ahan be madam- atsl Premum Silb$*d w Ois F.goimw Modifieatian Retrmimarm Modred to Rafle of P,atpctlence MA of t setn;,,rrrurlmaly; � Qrarrerly; �Meyr>thly otal Fstinudsd S{anrlttrd Prmr ium temium Disawnt,if applkable MA-DIA Assestmem 516 Cmmscsm Chun aW Estimated Annual Premierm MWM UM Pramitura $500 DOPOW!r?rernium 8515.0{3 TotRI EBIimated A`vwal Premium _. S5t'0 Name of Froducarr C.NTERNW NSURANCE AGENCY,INC. Ser!L*Off cei Small musirme Underwitm Couatereirod By TWO PARAGI3N WAY,.FREF14LLDN J.4772$ Auderlaei ftepffma�ttative Dmfs TW IMr ,t Thi MRTI'{TNI?WOMERN MMF9N1&A N AND 6;0E6VtWq ILIASIM INe1 A . ti• EM)ORUMM7C Y.CWMCW t9DEi D7.TO FFOot M PART TM N".CO�h5 ATES IM ti�'a ABOVE NUIWMUD POLICY: 71iVf+1'LD.T+�Jp`)1 py pgp bl.� !MA•DBL'"tUAB ORTH VeV Town o �� ndover TO No. 0 F 0 ndover, Mass., 0 LAKE COCHICHEMCK 01�?ATED P? SACH LJ5 FOR m 3 g EXCAVATION AND FOUNDATION Waljov+ IW4.ry......D THIS CERTIFIES THAT ......................................... in. L .... ................... ................................................ so Igo has permission to excavate and pour foundation at ..LAt3..#..ff67....C1.4,- L A AJ V. ... ... .. ..... for the purpose of..trAom... ....994.1y! OR 0111i The person accepting this permit must return to the office of the Building Inspector"a*'*certified plot'plan'show of building thereon before Foundation will be inspected. VIOLATION of the Zoning or Building Regulations Voids this.Permit. PERMIT EXPIRES IN 6 MONTHS The holder of this Foundation Permit proceeds at own risk and without UNLESS CONSTRUCTION STARTS assurance that a permit for entire building structure will be granted. BLDG. PERMIT FEE 2O, 000 LESS fDA15-0 M ............................................ ....... ..... DUE EWE PERM$ I BUILDING INSPECTOR NORTH Town of Nos Q ~ '° Amo dower, Mass., ) 7) 1tfd/ COC HICHE-ICK 41COC ` � S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System THIS CERTIFIES THAT.... �� C �>rw* BUILDING INSPECTOR . ...... ��V .. ..�.............. """ """""""'..".: Foundation .has permission to erect............1.......................... buildins on ..�.0 3..0 11 ...CI!I C Rough to be occupied as...9-room.,394...4 A-. ,. ...5 . .1.�....w4A f.r.....R!s cr c Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough 3 PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRUCTI N S TS C Rough 'm......... ...............' Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner PERMIT FEE 2 07 o0 0 Street No. kE$�,fDAIE 011f FRAME PERMIT$ SEE REVERSE SIDE Smoke Det. I kot3 * 115 Cf ickA' LA43C- Is+Fl dDayGR4ow. 1$� �5 3 1 aoo l5kFI mmto `S- 9 5 (08 0 bD bS 3 9 a c;Zmct aax 15 33o bS 5- O �ti �s" aid `s I 3 &, 5 0 i�v1 18a 4.,5" 030 aux / � 3 i-S a 8yo 0 3 D �p©, p00 iso = so _ �o ad 0D � 13drW, 3 �Ia Location ��� CR, 'O'� (4A)14L--, ' No. Date —�-! D3 NQRTR TOWN OF NORTH ANDOVER O? • • Oow 41 9 . i Certificate of Occ ancy $ �b� �.•` 0 ;�a '»°• <� Bu' Frame Pe mit Fee $ s�cHuse F nda n Permit ee $ O er rmit Fee spD� TOTAL $ Check # 2UOS 16235. - Building Inspector NORTH E Town of dover No. 4 eZ.3at 00 a o� �o� L dower, Mass., 43 �t �oRAT E D 1`7 H 4` D OF HEALTH PERMIT T Food/Kitchen Septic System BUILDIN NSPECTOR THIS CERTIFIES THAT....� �.. ............�..�.... �� . ......................... .............................................. Foundation has permission to erect..V. ..�!�.�.......... �4..7.....C.R<<.. . ....�.......L.J11110 '� Rough to be occupied as �.. lll� �. .......... W. �.��. �- ......................................... Chim provided that the person accepting t erm s II in every respect nform to t)-terms o the application on file in F* this office, and to the provisions of the Codes By-Laws relating to he Inspection, iter 'on and Construction of Buildings in the Town of h Andover. I q 14 / A is d .000- PLUMBING INSPECTOR VIOLATION of the Zoning or B 'ding Regulati s Voids this Permit. Rough P RMr IBES IN 6 ONTHS Final UN ESS C STRU N S ELECTRICAL INSPECTOR Rough ...... ............... .... Service BUILD G INSPECTOR Final Occu ncy Permit Required to Occupy Building GAS INSPECTOR Rough Display a spicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. GENERAL BUILDING NOTES/CHECKLIST- NOT LIMITED TO ITEMS BELOW POST ALL LOT NUMBERS,ADDRESS, AND PERMIT(COPY OK)..or no inspections INSPECTIONS: (Minimum) Excavation , Footing, Foundation, Frame, Insulation, Final. FOOTINGS: Continuous Full 2x4 Keyway Continuous strip footings for interior columns FOUNDATION: Rebar as required Anchor bolts or straps Damproofing Foundation drain-pipe/stonelfabric filter/cover and outlet connection. FRAME:Fireblock-over girts/plates between floor joist Penetrations for plumbing, heat, elec, etc. Walls at stair stringers. Windbrace corners and center bearing partitions. Size ridge to provide full bearing at rafter cuts. Hip and Valley rafters-watch bearing at walls. Ridge&Hip- Provide proper connections. Cathedral roof rafters provide proper connections and use"Hurricane Clips"tie to plate. Stair stringers-watch cuts and heal support. Joist hangers-fully nailed w/hanger nails. Sill plates 2-2X6(1 PT)w/sill seal. Girts-solid brick or steel plate bearing at foundations '/"air space at sides in foundation pockets. Lateral bracing at ends. Certified calculations. required for Beams/LVL's Trusses. Solid bearing support for Headers/Beams etc. Check headroom clearances-stairways, under beams Attic Access. (min. 22x30 w/3' headroom above). Crawl space access. (min. 18x24). Bath exhaust fans to have metal duct to exterior(not in soffit). Firecode S/R wood frame of"0"clearance fireplaces&stoves Window Schedule or Every Habitable Room Must Have: Natural light equal to 8%of floor area. '/of required glazing shall be openabie. Bedrooms required min. 20x24 egress window or door. Vent attic spaces-"proper vent", soffit and required ridge vents. Firecode under stairs if used for storage FIREPLACES: Separate permit required. Inspections at Footing-Smoke Chamber- Finish Smooth parging, clean joints, 8"solid @ combust. Surf. DECKS: Separate permit required: Lag to house, provide flashing. Rails min. 36" high, Baluster max space 5"on center. Over 8'above grade, use 6x6 posts w/lateral bracing. Lag all posts and rails. Pier footings down 48", Conc. pad at stair base. FINISH: Handrails returned to wall/newall post. Guardrails required alongside open cellar stairs. Exterior grading complete. Certificate or occupancy required prior to occupying structure. Temporary Stairs required for inspection. Re-inspection fee-$25.00(Be Ready). Certificate of occupancy required prior to occupying structure. TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER. 3 DATE ISSUED: 3 / 7`,o?w s SIGNATURE: Building Commissioner/InsDector of Buildings Date Z SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: umber Pa 1 Number 1.3 Zoning Information: L 4 Property cions: ZoningDistrict Proposed Use Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard ear Yard Required Provide red Provided R red Provided v 1.7 Water Supply M G.L.C.40. 54) Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of Record bew .5�cntid fd k,(6 =e tr` Name(Print) Address for Service Signature Telephone 2.2 Owner of Record: Name P n Address forService: z � rn SignatureTele hone M SECTION 3-CON UCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: License Number mn Address Expiration Date ic Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ rnCompany Name J(7 6 Coe G� gpf� „M �7� Registration Number r Address b vV r7 G7 L1 Expiration Date Signature ele hone SECTION 4-WORKERS COMPENSATION(M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. -Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify SI Ch COLA Brief Description of Proposed Work: _ 4J6 SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be O 'CAL", Completed by pernift applicant 1. Building D (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a) x(b) 4 Mechanical HVAC SODS 5 ♦ Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I> as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I> as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name Signature of Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 2ND 3 RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE Nvr% Ih 0VM O - r . ,. .�s ove 0 No. �� �....�, 4 o�A �oCL,� ,�, dover, Mass., ORATED * 5 BOARD OF HEALTH PERMIT T D Fo itchen Septic Sy m % DI INSPECTOR THIS CERTIFIES THAT"" .�.. l............S..�.... .�i .N......................................................................... Foundation has permission to erect... .1 V.. .�........... buildin s on ....jt.�.....�. <<• .. .... .......�►..a�� Rough 0 to be occupied as.......... .� � .... ....... �..1. .........CA.�. ............................................. Chimne provided that the person accepting thi�s�"' ermit shall in every respect conform to t terms of the application on file in P PP Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Iteration and Construction of Buildings in the Town of North Andover. '0 q 14 / As V) 5Vd PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. :Finjal � PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION S ELECTRICAL INSPECTOR Rough ...... ....... Service BUILD G INSPECTOR Fin Occupancy Permit Required to Occupy Building 77 :) GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove. Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. t TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING � , r .,� �, NAP"I �0 BUILDING PERMIT NUMBER: .�..,a 3 _. DATE ISSUED: 3 - ic SIGNATURE: —q Building Commissioner/12! for W Buildin Date Z SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: /15 Cte(Ck_ y.�[. � „ f� Map Number Parcel Number 1.3 Zoning Information: �V 1.4 Property Dimensions: Zonin District Proposed Use Lot Areas Fronta 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provid R red ided AV 0 1.7 Water Supply M.G.L.C.40. 54) - I.S. Flood Zone Inf on: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone ide Flood Zon ❑ unicipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSIIIPIAUTHO AGENT A 2.1 Owner of Record be Name(Print) Address for Service: Signature Telephone 2.2 Owner of Record: Name Pn Address forService: z 4— M Signature/ Telephone SECTION 3-coNstrRuCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: O License Number Address Expiration Date ic Signature Telephone '... 3.2 Registered Home Improvement Contractor Not Applicable ❑ 6 t,�- tit/ Company Name 1 { M J Q o40 {� p �f G// �j ��r � �,17s Registration Number fo. Address b tests l� G v� �/�( GG / r Expiration Date z Si nature Telephone G) SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. -Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify fl fQ Cg Brief Description of Proposed Work: I 1f5 V( G �( 4 <t -PtV-t(" 8-6 d4)4 M SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be aI�FICIAIJUSE O1�ILY ,°- z Completed by permit applicant 1. Building tld O (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(e) X (b) 4 Mechanical HVAC �'- 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1> ,as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, As Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name Si ature of Owner/A en t Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TINIBERS 1 2ND 3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE NvR � M Town ofover Ow:. .1.1 . 6. toVO No. 4a3 �A c0cwIcIftolm,, dover, Mass., da 003 PRATED H BOARD OF HEALTH PERMIT Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.... ...�!..�.��............5.�....�0.N............................ ............................................. Foundation has permission to erect..V.� .�........... buildin s on ....lt.!.....� .....,,,�.. '` Rough to be occupied as.......... .1tA�.... ....... �..I. .........C�. .� ........................ ......................... Chimney provided that the person accepting thI ermit shall in every respect conform to th to cation on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Iteration and Construction of Buildings in the Town of North Andover. I b q 14 / As � 5vd / PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTIONWA� S ELECTRICAL INSPECTOR Rough ....... ...... ........ .... Service IL CTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove. Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. Location // l (C ko 4 1� -e_ No. a-3 Date — IQ-d3 �oRTM TOWN OF NORTH ANDOVER 3: � • �0 Certificate of O upa y ;�ss+cM�st<� qF di ame rmit ee Soo nd Perm Fee : er r Fee $AL $ Check # 16235 �� Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER. " oZ DATE ISSUED: �� � rJ`a 3 ic SIGNATURE: Building Commissioner/InEeEctor of Buildings Date Z SECTION 1-SITE INFORMATION o 1.1 Property Address: 1.2 Assessors Map and Parcel Numb Map Number arcel Number r 11.3 Zoning Information: (_Nom" 4 Property Dimens: Zoning District Proposed Use ea Fronta e 1.6 BUILDING SETBACKS ftI IF Fk Front Yard ideYa ear Yard Required Provide R i ided R red Provided v 1.7 Water Supply M.G.L.C.40. 34) 11.5. Flood Infomration: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone% I Outside Flood Zone ❑ Municipal 0 On Site Disposal System ❑ SECTION 2-PROPERTY OWNERS HICIAUTHifRIZED AGENT rn 2.1 Owner of Record Name(Print) Address for Service: Signature Telephone 2.2 Owner of Record: 19� cLO Name Pt Address for ervice:u",4 tv Z rn Si nature Telephone SECTION 3-CON UCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable 0 Licensed Construction Supervisor: o License Number Address 7 Expiration Date ic Signature Telephone rM 3 3.2 Registered Home Improvement Contractor Not Applicable ❑ 6 Comp Company Name q rn Jf� NA r C-75� Registration Number r Address !� tel/ �l G� - / r Expiration Date � Signature 1z Tele2hone Q SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result f in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work check au applicable) New Construction ❑ Existing Building ❑ Repair(s)77� ations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specifyf I C-A(AA Brief Description of Proposed Work: DGS 4?Cc (" cwa� SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant s� 1. Building ( O (a) Building Permit Fee Multiplier t 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a) X (b) 4 Mechanical HVAC J �O( 5 Fire Protection -6. Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, ,as Owner/Authorized Agent of subject property I Hereby authorize to act on I My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, ,as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name Signature of Owner/A ent Date mill NO. OF STORIES SIZE } BASEMENT OR SLAB SIZE OF FLOOR TIIVIBERS 1ST 2 3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHNNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE Location /d q /lO ���c�`�� LA "e No. O// Date NORTq TOWN OF NORTH ANDOVER • i : . Certificate of Occupancy $ �'�s'• Eta' Building/Frame Permit Fee $ JA�NUS Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 117D 3 5 7 Building Inspector ( ERIMIT NO. Q // APPLICATION FOR 1 ERMI'I' TOJB[1IL®******x*NORTH ANDOVER, NMA --wl—.I•a>. � u-_ LUTNO. 2. RF("ORDOf1(WNURSIID' __ .--- DATE � BOOK PACE LOM SUB DIV.1.OTNO. f uA9-1er I oU li 110\ i ..fin�.�Y t5C C�f�CJ^� L,,j\e-., // 14114110u1 OF BuIII)IN(: — ,--¢i-[-l� - -- ��-`'`) WON-e— ��qle—/?eSI C��tMG owm it's N%111E N NO.OF StottlES SIZE /)AAN►:N'SIDI►NFSS -- — BISENIENTORSLAR 1\t v, .1R1'lIIT UC I'S NAME �'-` SIZE OF FLOOR TIMBERS i 3 __— �NCG �GJftiScry �6�tr" BUM►k-N'S NAME SIV DISFINf E"FO NLAREST BUILDING to' 1)1NIENSIONS OF Sl1.IS DISI'ANCL FROM STREET - �j _^-- �-- - - DIMENSIONS OF POSTS i):\1IN('i'IyNOfttLlif1iNFS`SIIIF.S �"REAR - DIMENSIONS OF GIRDERS- � Z4CIZ L►I\ �3p S}�c� cath ARCA OI.10 1 I L9 '-..W FRONTAGF IIFIGNT OF FOUNDAI ION f 1111CKNESS IS B14LUING NF R' N&J, SIZE OF FOOTING " QL Aee? x IS Btill-DING ADDITION NIATFRIALOF CHIMNEY IS Bi:ILI)INI.ALILRA I ION \._ ~- IS 11MUDING ON SOLID OR FILLFII LAND s6 o A111 1.BL11.D{1/:fY)\FORM TOR FQI I IN EM IMES OF CODE ---- lS Btlfi.DING CONNECTFD To TOWN W-ITER BOAND OF.APPFAI-S A(.1 N)N,iF AN\' IS BUILDING CONN EC IED TO TOWN SL*%Tk N O f'- -- - - IS 111111 IM;CONNECIFD'10NAIIJRM.GASLINE i INS'l1'(`I'IONs 3. PROPERTYINFORMA"110N LANDCOSI" EST.NLDG.COSI _ t PTCI' I FILL Oil I'SI.(-TIONS 1-3 EST.BLOC.(Awl.I'ERSq. F'T'.__-�� EST.III I C.COST PER ZOOM 1114 IRI( MC1IAS f111%T BF ON Of iT:SIDE OF 0I111 DING SFPTI(-1'I tl1'A('ITR'1�l:.ULIGI:SMUST'('1/NFONIII'IY)S-I-A"1'EF'IIt F.ItF:1.Ui.AT'ION5 �. AI'1'RtN'F:11N1": VI SNS Alt;t'BL I WI-1l AND APPROVED BY IMILDING INSP. TO HI III DING INS UC IOtt UATFFItFll /' O1\"NEIts IELk -as- a -' _-. CONTR.I i('FI SI(:\A'II+Rk. OF 0%%NER OR MITHORILED ACF NT _ 1.1-13111(at AN IED Rrri�rd Si5/9(1 .1;11 TOWN OF NORTH ANDOVER, MASSACHUSETTS DIVISION OF PUBLIC WORKS 384 OSGOOD STREET, 01845 Telephone(508)685-0950 Fax(508)688-9573 Of AORTh A 3� E"4t`EO ,6��0 O ♦ 09 Is SA - DRIVEWAY PERMIT Date: LOCATION: //D , 'c ��� L� �� ��, q/ BUILDER: phone: OWNER: 'c�eee za��e 1�✓ &ro Phone: ?e �4 The North Andover Superintendent of Highway Utilities&Operations MUST be notified of the grade and set-back from street established in any driveway entry onto any street or way maintained by the TOWN. Call the Highway Superintendent's Office, before finish grading and surfacing for approval of such entry. FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS PERMIT. Remarks: Approval: y N2 932 APPLICATION FOR WATER SERVICE CONNECTION " North Andover, Mass. l 19 Za Application by the undersigned is hereby made to connect with the town water main in �✓ e Street subject to the rules and regulations of the Division of Public Works. �q The premises are known-as No. r� (�r' t\C C ]— Street or subdivision lot no. ��� �� L t���e,L �42 ��✓ Z-LC U� Owner Address Contractor Ad ress App'carif's Signature Cvs ' 1r Na 0742 Date ..... . �......... The Bc 20F NOR7"yJ L t- to mat TOWN OF NORTH ANDOVER Street subjec SS4cHusE��y RECEIPT Board of Public Works Inspe This certifies that .. ..�l� LL ....... .... . ...�. LTA .c'J. L has paid ................ .... Datefor e ...................... ......�'z �'r ... Received by. 1. ; ,.... .. ........ . . ... ... . . . .. . . ... Department ....................... . WHITE: Applicant CANARY:Department PINK:Treasurer FORM U - LOT RELEASE FORM fi l INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from, Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. FILLS OUT THIS SECTION—********************* APPLICANT CrkOK-c-�- DcQelcZMr, �-- L_LC-. PHONE LOCATION: Assessors Map Number CJ'-A PARCEL SUBDIVISION CJr ky\,k- LOT (S) _ STREET Gr�'c V, S T. NUMBER l/0 USE RECOMM ENDA T IONS OF TOWN AGENTS: CO SERVATION ADMINISTRATOR DATE APPROVED 7- DATE REJECTED COMMENTS �5a pre -moi^���,c�u,', -�llQ��-w�• TOW P NNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED C— S C 1N ECTOR-HEALTH DATE APPROVED 7 DATE REJECTED COMMENTS � ��L.��� c�r �7 ✓a�L � PUBLIC WORKS -SEVVER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT � RECEIVED BY BUILDING INSPECTOR DATE Revised 919,'jm V Growth Management Bylaw Exemption Statement Town of North Andover Building Department This form shall be used to assist the Building Department in their determination of exemptions under section 8.7.6 of the Town of,North Andover Growth Management Bylaw. The building applicant shall provide all of the necessary information as requested below. Name of Applicant an Building Permit( low) �ddress of Property for Permit(below) .a(.,tL� rt ck C. Sr `4�(�ctc).c,Q M wer I A ci Map and Parcel : Purpose of Ap ication (check below) P�i�e Number of App cant • gle Family _Two Family I`the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the EXEMPTION section 8.7.6 of the North Andover Growth Management Bylaw. I also understand providing this form does not absolve me or any party to this permit from the requirements of obtaining other permits required prior to the issuance of the Building Permit. Further I understand that my interpretation of the EXEMPTION status is subject to review by the Building Department and is only officially accepted when the Building Permit ig issued. Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the above lot, in the building permit application and associated attachments, complies with one or more of the following sections as indicated by a check mark. This is an application for a building permit for the enlargement, restoration,or reconstruction of a dwelling in existence as of the effective date of this by-law,provided that no additional residential unit is created. ByThe lot(s)were/was created prior to May 6, 1996 are exempt from the provisions of this Section 8.7 of the Zoning taw. This application is for dwelling units for low and/or moderate income families or individuals,where all of the conditions of 8.7.6.care met and/or represents Dwelling units for senior residents,where occupancy of the units is restricted to senior persons through a property executed and recorded deed restriction running with the land. For purposes of this Section"senior"shall mean persons over the age of 55. This application is a part of a development project which voluntarily agreed to a minimum 40%permanent reduction in density, (buildable lots),below the density, (buildable lots), permitted under zoning and feasible given the environmental conditions of the tract,with the surplus land equal to at least ten buildable acres and permanently designated as open space and/or farmland.The land to be preserved shall be protected from development by an Agricultural Preservation Restriction, Conservation Restriction,dedication to the Town,or other similar mechanism approved by the Planning Board that will ensure its protection. adjThis application represents a tract of land existing and not held by a Developer in common ownership with an acent parcel on the effective date of this Section 8.7 shall receive a one-time exemption from the Planned Growth 1"This and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the application represents a lot which is ready for building permits.(i.e.all other permits from all other boards and commissions have been received and the project is in compliance with those permits), and the Development Schedule does not accommodate issuing a building permit in that Year,one building permit will be issued per Year per Development until such time as the Development Schedule accommodates issuing building permits. Applicant must supply approved form U with this EXEMPTION. Please provide any and all information that would assist the Building Department in making a determination' that your application is allowed one or more of the above EXEMPTIONS. By signing belo a st to the accuracy of the information provided and that the attached building permit is allowed an EX MPT N as cited above. Further I understand that the submittal of misleading and or inaccurate in ti n, or the checking off of an above item which does not comply, whether done to my knowledge r ct, i grounds for refusal by the Build� De artment to issue a Building Permit. (2- 17 ignature f w r r Authanzed nt who signed the Attached Building Permit Date This form ftalt be attached to the Building Permit upon application for such permit Lu i I MASchezk COMPLIANCE REPORT i — I Massachusetts Energy Code Permit 4 I ` MAScheck Software Version 2.01 I I � I Checked by/Date i CITY: North Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric: Resistance) DATE: 5-14-1999 Eli COMPLIANCE: PASSES Required UA = 685 Your Home = 622 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 2232 330.0 0.0 79 WALLS: Wood Frame, 16" O.C. 2720 19.0 0.0 164 GLAZING: Windows or Doors 158 0.320 51 GLAZING: Windows or Doors 64 0.330 21 GLAZING: Windows or Doors 435 0.470 204 DOORS 21 0.320 7 FLOORS: Over Unconditioned Space 2040 19.0 0.0 97 HVAC EQUIPMENT: Furnace, 92.0 AFUE ---------------------------------------------------------------------------_--- COMPLIANCE STATEMENT: The proposed building design described 'here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the lapplicable Standard Design Conditions found in the Code. The HVAC equipment sel ted to heat or cool the building shall be no greater than 125$ of. th sign load as specified in Sections 780CMR 1310 and J4.4'. t Builder/Designer _-' Date MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 DATE: 5-14-1999 Bldg. 1 Dept. 1 Use I I I CEILINGS: [ 1 I 1. R-30 ] Comments/Location I I WALLS: [ ] I 1. Wood Frame, 16" O.C., R-19 Comments/Location ! WINDOWS AND GLASS DOORS: [ ] I 1. U-value: 0.32 I For windows without labeled U-values, describe features: I # Panes Frame Type _ Thermal Break? [ ] Yes [ ] No I Comments/Locatior. [ J 2. U-value: 0.33 I For windows without labeled U-values, describe features: I # Panes Frame Type_ Thermal Break? [ ] Yes [ ] No I Comments/Location [ ] 1 3. TJ-value: 0.47 For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes ( j No ( Comments/Location I I DOORS: ( ] 1 1. U-value: 0.32 I Comments/Location_ I I FLOORS: ( ] 1 1. Over Unconditioned Space, R-19 I Comments/Location I HVAC EQUIPMENT: [ ] 1 1. Furnace, 92.0 AFUE or higher I Make and Model Number I I AIR LEAKAGE: [ ] I Joints, penetrations, and all other such openings in the building I envelope that are sources of air leakage must be sealed. When I installed in the building envelope, recessed lighting fixtures I shall meet one of the following requirements: I I. Type IC rated, manufactured with no penetrations between the I inside of the recessed fixture and ceiling cavity and sealed or I gasketed to prevent air leakage into the unconditioned space. 1 2. Type IC rated, in accordance with Standard ASTM E 283, with no I more than 2.0 cfm (0.944 L/s) air movement from the the I conditioned space to the ceiling cavity. The lighting fixture I shall have been tested at 75 PA or 1.57 lbs/ft2 pressure I difference and shall be labeled. I - I VAPOR RETARDER: ( ] I 4*Required on the warm-in-winter side of all non-vented framed I ceilings, walls, and floors. I I MATERIALS IDENTIFICATION: ( ] I Materials and equipment must be identified so that compliance can I be determined. Manufacturer manuals for all installed heating I and cooling equipment and service water heating equipment must be ( provided. Insulation R-values, glazing U-values, and heating I equipment efficiency must be clearly marked on the building plans I or specifications. I I DUCT INSULATION: [ 1 Ducts shall be insulated per Table J4.4.7.1. I I DUCT CONSTRUCTION: [ ] ( All accessible joints, seams, and connections of supply and return ductwork located outside conditioned space, including stud bays or i joist cavities/spaces used to transport air, shall be sealed I using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be i omitted where gaps are less than 1/8 inch. Duct tape is not i permitted. The HVAC system must provide a means for balancing I air and water systems. I I TEMPERATURE CONTROLS: ( l I Thermostats are required for each separate HVAC system. A manual I or automatic means to partially restrict or shut off the heating I and/or cooling input to each zone or floor shall be provided. 1 I HVAC EQUIPMENT SIZING: [ l I Rated output capacity of the heating/cooling system is I not greater than 125% of the design load as specified in Sections 780CMR 1310 and J4.4. I [ ] I SWIMMING POOLS: All heated swimming pools must have an on/off heater switch and ! require a cover un'_ess over 20% of the heating energy is from I non-depletable sources. Pool pumps require a time clock. I [ 1 I HVAC PIPING INSULATION: HVAC piping conveying fluids above 120 F or chilled fluids I below 55 F must be insulated to the following levels (in.) : I I PIPE SIZES (in.) I HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" 1 Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 1 Low temperature 120-200 0.5 1.0 1.0 1.5 I . Steam condensate any 1.0 1.0 1.5 2.0 I COOLING SYSTEMS: I Chilled water or 40-55 0.5 0.5 0.75 1.0 I refrigerant below 40 1.0 1.0 1.5 1.5 I ( ] I CIRCULATING HOT WATER SYSTEMS: • 1 Insulate circulating hot water pipes to the following levels (in.) : I 1 PIPE SIZES (in.) I NON-CIRCULATING I CIRCULATING MAINS 6 RUNOUTS I HEATED 99TER TEMP (F) : RUNOUTS 0-1" I 0-1.25" 1.5-2.0" 2.0+" { 170-180 0.5 1 1.0 1.5 2.0 I40-160 0.5 I 0.5 1.0 1.5 1 100-130 0.5 I 0.5 0.5 1.0 I ---NOTES TO FIELD (Building Department Use Only)------------------------- O R Ti-y Town oAndover� : ' �-j, 10 No. 0/ / Y. .No, ndover, Massa D 07 v0 0 Co'HICHEwICK �,t' A0RATE D AP��.�� SSA C H USE IT FOR EXCAVATION AND FOUNDATION THIS CERTIFIES THAT .....CMA!**4 A kt /�'� 0��4 .................. ........`'............................................................ ...................... ,� f q Bio rr.�A*if 1AQtohas permission to excavate and pour foundation at .................................... ........................... for,the purpose of... .....OO......�.............................� ............v .......... I .... .. � The person accepting this permit must return to the office of the Building Inspector a certified plot plan show of building thereon before Foundation will be inspected. VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS The holder of this Foundation Permit proceeds at own risk and without UNLESS CONSTRUCTION STARTS assurance that a permit for entire building structure will be granted. ..... .... .. ..A---a. ............ BUILDING INSPECTOR NORTH Town of Andover No. Of -__A o �` dover, Mass., COCHICHEWICK ' RATE BOARD PPa\ '9S BOARD OF HEALTH Food/Kitchen DSeptic System PERMIT T BLJILDING'INSPECTOR THIS CERTIFIES THAT...co�.�. ................DO,* .1� ..�M V.+1��......�..�►..�............................ Foundation . . 9' �i/0 C��t�i�. l,..,u has permission to erect...........i......................... buildings on .t1 .... ..................................... ..... .. .. ............................ Rough to be occupied as S f`Nllh '1� p a � .� sty 11 v#ud rr r,! +M ll .. Rd'508J*44C16, Chimney ........ . !. . ................. ........... .......................................................�.................ry ................. provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final q ELECTRICAL INSPECTOR UNLESS CONSTRUCTIONS T C � Rough ............ ..• ...................................... Service 3 BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. SEE REVERSE SIDE OEPAR ilENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE Nu�6er ' .fxpires: Birthdate: 9; CS ;S19Z `a18/11/2001 18/11/1965 y Resta d"To* w 18 ite RICHAR6 A WELCH 9 VIKING RB WINCHESTER, NA 11896 J The Commonwealth of Massachusetts rn = Department of Industrial Accidents Office of Investigations Boston, Mass. 02119 % Workers'Compensation Insurance Affidavit 7M See Please Print Name: CfGV z3, Location: V\"ny-3 City N eci�)Lng . RMEJ s Phone 19-7 -9 am a homeowner pe drming all work myself. rZ/1am a sole proprietor and have no one working in any capacity L r c✓a 1- ✓e c,P �.� t_L G - `^4 71 1 am an employer providing workers' compensation for my employees working on this job. Company name: Address City: Phone#: Insurance Co. Policy# Company name: Address City: Phone#: Insurance Co. Policy# Failure to secure co rage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'' pn onment as well as civil penalties in the form of a STOP WORK ORDER and a fine of($100.00)a day against me. I understand thati copy f this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do herby cern and he pains aaanpesZol ,14<9_the information provided above is true and correct. Signature Date Print name � Phone# Official use only do not write in this area to be completed by city or town official' C] Building Dept Check if immediate response is required Building Dept p Lincensing Board p Selectman's Office Contact person: Phone#. Health Department Other